HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT'
Building & Code Regulations Division
2300 VIRGINIA AVENUE
.FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
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description/Address)
am
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
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Property Owner Parne (Please Print)
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Property OwnSignature Date U
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STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS "Zk DAY OF 0 ,0__ 20 1 1
BY � ,-1 WHO IS PERSONALLY KNOWN TO ME a OR WHO HAS
PRODUCED D 1 AS IDENTIFICATION.
SIGNATURE OF NOT AR P LIC TYPE OR PRINT NOTARY '
C COMMISSION NUMBER
E10-
"yZg ELLEN VAUGHN
°PUe�:State of Florida -Notary Public
Commission #I GG 270079
SLCPDSD Revised 04/11/2011 MY Commission Expires